Non-surgical treatment of gingival enlargement associated with puberty. Clinical case report
Keywords:
Periodontal diseases, Gingivitis, Gingival enlargement, Puberty.Abstract
Introduction: Gingival enlargement is usually treated through surgical therapies of gingivectomies; its non-surgical mechanical treatment is also an option especially in cases of gingivitis associated with puberty as a result of hormonal changes.
Objective: To describe the non-surgical treatment of a 12-year-old patient with gingival enlargement associated with puberty and gingival lesions induced by dental biofilm.
Case presentation: The case presented a localized mild gingival enlargement that sent the first phase of treatment after one month, after three physiotherapy sessions with the removal of calcified biofilm and the percentage reduction of oral hygiene index to “good”, did not require intervention surgical. Four years later there was a complete reduction of enlargement and periodontal pockets.
Conclusions: Mechanical periodontal therapy is an effective alternative in reducing gingival inflammation induced by hormones during puberty without the need for surgical interventions to treat gingival enlargement. Other alternatives such as gingivectomies are applicable, however, they require more complex, expensive procedures and increased patient morbidity; In that sense, the uniqueness of the non-surgical mechanical treatment is chosen as a viable option.
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